Healthcare Provider Details

I. General information

NPI: 1881515260
Provider Name (Legal Business Name): ALICIA MICHELLE BURDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 VASSAR CT
CINCINNATI OH
45232-1224
US

IV. Provider business mailing address

509 VASSAR CT
CINCINNATI OH
45232-1224
US

V. Phone/Fax

Practice location:
  • Phone: 513-502-5303
  • Fax:
Mailing address:
  • Phone: 513-502-5303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224ZL0004X
TaxonomyLow Vision Occupational Therapy Assistant
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: